Direzione Amministrativa Ausl Romagna – I ticket di Pronto Soccorso non sono illegittimi contrariamente a quanto affermato dal Consigliere Ancisi che basa la sua argomentazione sull’errata convinzione che i ticket sanitari siano tributi fiscali, ossia entrate conseguenti ad imposizioni fiscali, da cui deriverebbe, oltre alla competenza giurisdizionale del giudice tributario, l’imprescindibile “presupposto di legge che li giustifica”.
Tale assuntoèinfondato. Anche se la questione sulla natura giuridica del ticket sanitario è oggetto di conflitto di giurisdizione fra giudice ordinario e giudice tributario, ciò che rileva sotto il profilo sostanziale è che fin dalla sua introduzione il ticket rappresenta la modalità con cui gli assistiti del SSN partecipano al costo della prestazione sanitaria fruita. La legittimazione delle Regioni ad introdurre quote di compartecipazione alla spesa per prestazioni di Pronto Soccorso trova fondamento nel Decreto Legislativo 29 aprile 1998 n. 124 che all’art. 2 “Prestazioni soggette al sistema di partecipazione al costo” al comma 4° stabilisce:
” 4. Le regioni, fermo restando quanto disposto dall’articolo 1, possono includere tra le prestazioni soggette alla partecipazione al costo quelle erogate in regime di pronto soccorso ospedaliero, non seguite da ricovero, effettuabili in regime ambulatoriale senza pregiudizio del paziente e per le quali non si riscontra carattere di emergenza o urgenza. Tale ampliamento è volto a favorire la redistribuzione degli oneri da partecipazione fra gli assistiti non esenti e a promuovere il ricorso appropriato ai diversi regimi di erogazione delle prestazioni.” La Regione Emilia Romagna, nell’esercizio della propria potestà, ha quindi legittimamente dato attuazione con disposizioni di dettaglio, approvando la Delibera n. 2009/1035, nonché la successiva Delibera di Giunta regionale n. 389/2011 integrativa della precedente, valevole quest’ultima sino al 31 dicembre 2024. Con DGR 1189/2024, inoltre, sono state fornite nuove disposizioni della Regione Emilia-Romagna che decorrono dall’1/1/2025, in materia di ticket di Pronto Soccorso. Per quanto riguarda il riferimento del Consigliere alla mancata risposta da parte dell’Azienda, si fa presente che avendo presentato un’interrogazione al Sindaco, l’Azienda provvede ad inviare risposta scritta entro i termini previsti. Prima di avanzare interpretazioni perentorie rilasciando dichiarazioni pubbliche che possono disorientare i cittadini, sarebbe opportuno attendere tutti i chiarimenti del caso.
Direzione Amministrativa Ausl Romagna
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